Opinion
Nigeria With Surplus Doctors?
No, I am not worried (about doctors leaving the country), we have surplus. If you have surplus you export. It happened some years ago here. I was taught chemistry and biology by Indian teachers in my secondary school days. “… Who said we don’t have more than enough. You can quote me. There is nothing wrong in them travelling out. When they go abroad, they earn money and send them back home here. Yes, we have foreign exchange earnings from them and not just oil”.
Had l not watched the live interview on a national television, I would have said that the Minister of Labour and Employment, Dr Chris Ngige, who made the above statement, was quoted out of contest by journalists. But behold, even when the interviewer, who was obviously surprised at his response to a question on brain drain in the medical profession in Nigeria tried to let him know that we are facing a crisis of shortage of hands in the medical profession, he emphasized all the more that we have surplus doctors in Nigeria and any doctor that wants to leave the country should do so.
When you hear leaders like Ngige, a medical doctor, talk in this manner, you can’t help but pity the nation. If the minister of labour is not worried that we have brain drain in the medical field and its impact on the citizens but is more concerned about the money that the doctors fleeing the country everyday will bring back to the nation, are we not doomed?
According to the current recommendation of the World Health Organization (WHO), there should be one doctor per 600 persons. Here in Nigeria, however, records have it that there are 72,000 registered doctors with only 35,000 practicing in the country. With an estimated population of 180 million, it means there is one doctor per 5000 people. Yet a minister says we have surplus doctors?
Anyone who lives and uses health facilities in Nigeria, especially the public facilities, will definitely be wondering if Ngige dwells in this clime or he just came back from the moon. We all know how difficult it is to see a doctor in the public hospitals owing to the low numbers of doctors. Most times when you are going to a hospital, whether on appointment or not, you zero your mind that you are going to spend the whole day there. You can leave your house as early as 6:00 am, hoping to be among the persons to see the doctor, only to find out that over 50 patients were there before you. Sometimes you may even spend the whole day without seeing a doctor.
Not too long ago, the President, Nigeria Medical Association (NMA), Dr Francis Fadyile, lamented the disparity in doctor-patient ratio in Nigeria. He said it has remained low because the country does not retain up to 60 percent of its products. According to him, “We have doctors and other health practitioners being overworked. Where you are supposed to have ten doctors to see some number of patients, we have one doctor to all patients day in day out”. He added that, maximally, a doctor should see 42 patients a day but regrettably, a doctor sees 150 to 2000 patients in a day here in Nigeria. This has led to the death of a good number of doctors. Yet Ngige, a medical doctor who should know better, says we have more than enough doctors?
Unlike some countries where the training of medical students is beyond the reach of many families, medical schools and residencies are subsidized with government funds. This is an investment which ought to be benefitting the country and her citizens but unfortunately, other countries are now reaping from it. Countries like the United Kingdom, United States of America, Canada, Saudi Arabia, South Africa and others are constantly recruiting the best doctors, nurses, pharmacists and other health professionals from Nigeria to beef up their health sector, to the detriment of our citizens and our health sector, yet the minister of labour is not perturbed?
How can we be exporting what we have in short supply? No doubt, migration of doctors did not start today and it is not peculiar to Nigeria, but must we allow it to continue at the current alarming rate? What becomes of our citizens as the already low number of doctors and other health professionals continues to deplete daily? Contrary to the opinion of the labour and employment minister, the federal government should indeed be disturbed about the worrisome development and take urgent steps to check it.
The exodus of the doctors has been attributed to poor working environment, poor remuneration, and lack of facilities among others. Government should address these problems assiduously. There should be general improvement of the health care services, increased and adequate funding of the health sector and measures to ensure that the funds are well managed. Without these, our “surplus” doctors will continue to leave the country in droves in search of greener pastures while the likes of Ngige will continue to pretend that all is well with our health sector.
Calista Ezeaku
Opinion
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Quote “Professor Kamene Okonjo
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Opinion
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Opinion
FG’s Transport Support And Rivers Workers
The Federal Government’s approval of a N70,000 monthly transport intervention for public service workers for six months, beginning in November 2026, offers hope to employees struggling with the rising cost of living. The agreement with the Nigeria Labour Congress (NLC), reached at a conciliation meeting in Abuja on October 27, is intended to cushion transport costs and ease pressure on workers’ incomes. But for public servants in Rivers State, it raises a familiar question: will the State Government key into the intervention and ensure that its workers benefit? The agreement provides for N70,000 monthly across all levels, for six months. The Federal Government also approved peculiar allowance arrears effective from May 1, 2026, to be paid in three equal instalments beginning in November.
The parties agreed to reconvene after one month to assess implementation. Ultimately, the value of these resolutions will be measured not by announcements but by whether eligible workers receive the money. Transport costs consume a substantial share of many civil servants’ earnings before they can meet household needs. Support for commuting is therefore not a luxury or political favour; it is temporary assistance to help workers remain at their jobs without sinking further into hardship. For lower-paid employees, transport costs can turn modest salaries into a daily exercise in difficult choices and sacrifice.
The agreement also urges State and Local Governments to participate and unions to press for implementation. The federal agreement does not automatically guarantee that every State and Local Government employee will receive the support. State authorities must clarify how it will apply to their workforce, make the necessary arrangements and publish a payment timetable. Rivers State must approach the arrangement with urgency and transparency. The Government should State whether it will implement the intervention and when payments will begin. Any administrative or financial question should be addressed promptly with organised labour, not allowed to become excuses for delay.
The concern is sharpened by the earlier N35,000 monthly wage award introduced by the Federal Government in 2023 after petrol subsidy removal. It was intended as temporary relief pending a new national minimum wage. While several States negotiated and paid wage awards or related sums, implementation nationwide was uneven. Reports in 2024 indicated that many States had failed to pay the federal award, while others provided different amounts. In Rivers, labour and media reports raised concerns about implementation of the N35,000 award for State workers, amid separate announcements and arrangements concerning Local Government employees.
The wage award was meant to ease the immediate effects of subsidy removal, yet workers faced uncertainty over whether the promised relief would reach them. In February 2024, the Rivers State Government announced approval of the N35,000 award for local government workers, but subsequent reports showed that implementation across worker categories remained a concern. The lesson is clear: approval and implementation are not the same. A declaration at a meeting offers little comfort to a worker whose account does not reflect the promised payment. For workers who travel to their offices daily, the implications of delayed support are significant. Transportation expenses compete with food, rent, school fees, healthcare and other essential household needs.
As fares rise, employees may be forced to reduce spending on necessities or borrow to sustain their families. A timely transport intervention would therefore provide practical relief and demonstrate that government understands the economic pressures confronting its workforce. Its temporary nature makes prompt implementation even more important. It is fair to acknowledge that this transport intervention is a new agreement and that its administrative details may require clarification. Rivers State should not be condemned in advance for a failure that has not occurred. Nevertheless, the earlier experience gives workers legitimate grounds to seek assurances before the November commencement date. The State should avoid allowing uncertainty to persist until workers begin asking why the promised assistance has not arrived.
The NLC and unions in Rivers State should engage the State Government immediately and seek a written commitment, an implementation plan and a process for reporting missed payments. If clarification from the Federal Government is needed, the State should seek it without abandoning the goal of providing relief. Labour leaders must also keep members informed about progress and insist that any agreed arrangements are applied fairly and transparently. The Rivers State Government should treat this intervention as an opportunity to rebuild confidence. Timely support would show that workers’ welfare is more than a talking point and that the State recognises the economic realities confronting its employees.
Silence, delay or selective implementation, by contrast, would revive frustration over earlier relief measures and weaken trust between government and labour. Every month lost to administrative delay leaves workers facing the same transport burden without the intended assistance. The State should consult labour, publish arrangements and pay eligible workers on time. Rivers workers should not have to wonder whether federal relief will reach them. The Federal Government has announced the support; now the State must make its position clear. We hope the N70,000 monthly transport intervention will not follow the troubling path of the earlier wage award. Rivers State should learn from that experience and ensure that this time, relief is not merely promised but delivered.
Sylvia ThankGod-Amadi
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